The DIEP Flap (Deep Inferior Epigastric Perforator) procedure uses blood vessels (deep inferior epigastric perforators) and skin and fat from the lower abdomen to reconstruct a breast after mastectomy.

Here’s DIEP Flap surgery works:

• Perforator flaps represent the state of the art in new breast reconstruction techniques. Replacing the skin and soft tissue removed at mastectomy with soft, warm, living tissue is accomplished by borrowing skin and fatty tissue from the abdomen.
• A slim incision along the bikini line is made much like that used for a tummy tuck. The necessary skin, soft tissue, and tiny feeding blood vessels are removed. These tiny blood vessels are matched to supplying vessels at the mastectomy site and reattached under a microscope.
• Restoration of the nipple and areola follow, completing the procedure.

Stacked Flap DIEP Reconstruction

We also offer stacked flap DIEP breast reconstruction, an innovative microsurgical technique that utilizes tissue from the lower abdomen to reconstruct the breast. This approach provides a natural-looking and feeling result, minimizing donor site morbidity and maximizing aesthetic outcomes.

Some of the benefits of stacked flap reconstruction include:

• Natural Tissue Reconstruction: Utilizing the patient's own tissue from the abdomen to recreate the breast, resulting in a natural look and feel.
• Minimized Risk of Abdominal Complications: The stacked flap technique allows for preservation of abdominal tissue, reducing the risk of hernias and bulges.
• Enhanced Aesthetic Outcomes: By utilizing multiple flaps, our surgeons can sculpt the reconstructed breast with great precision, achieving symmetrical and aesthetically pleasing results.
• Tailored Approach: Each stacked flap DIEP reconstruction is tailored to the individual patient's unique anatomy and aesthetic goals, ensuring personalized care and optimal outcomes.

SHAeP Flap Breast Reconstruction

For some women who would otherwise opt for DIEP flap reconstruction, the SHAeP (superior and inferior deep inferior epigastric perforator) flap technique may be a better choice. This approach utilizes tissue from both the upper and lower abdomen for a larger, more robust flap, making SHAeP an ideal option for women who are “too thin” for DIEP flap or have had previous abdominal surgeries.

Some of the benefits of SHAeP Flap reconstruction include:

• Greater Tissue Availability: The use of both superior and inferior abdominal tissue allows for a larger tissue volume to recreate the breast.
• Minimal Scarring: Unlike traditional DIEP flap reconstruction where there is a long horizontal scar across the lower abdomen, SHAeP flap reconstruction only leaves two small scars on the abdomen that are easily hidden by underwear or swimwear.
• Improved Contouring Capabilities: By combining tissue from different areas of the abdomen, our surgeons can create a more natural-looking breast with improved contouring.